Our expert says:
headaches, of course, can have innumerable possible causes, and a careful assessment by a pain specialist or neurologist might have the best chance of working out what the cause is and how best to manage it. Stress, from whatever cause, can be a potent cause of headaches, and the nail-picking you mention is often associated with stress. Yes, there's a compulsive element to it, but this can also be a bad habit, grown from more incidental stress-related behaviour, and become habitual. CBT ( Cognitive-Behaviour Therapy ) a form of psychotherapy can be very effective at helping one to un-learn bad habits, of thought and deed. It can also help him to learn to handle stress in other ways, and could even allow him to gently wean himself off smoking. I tend to agree with his psychiatrist that a more traditional and purely anti-smoking approach would probably not be wise ; but within a process of CBT, if it helped him to relax when he needs to without needing to smoke, might enable him to choose to take such a step.
He has done very well, of course, to get of and STAY off heroin for so long. Your own concern is commendable, but try no to worry excessively. A low sperm count is not likely, and isnt a definite and regular result of prior heroin abuse. A healthy lifestyle and good diet will probably enable him to have no problems in this area
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